Gingivectomy/Gingivoplasty — 4+ Teeth (Per Quad) (D4210) — National Rates

Negotiated reimbursement rates for D4210 across 50 states, sourced from CMS Transparency in Coverage data. 726 rate records.

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National Average Negotiated Rate
$383
726 rate records · 50 states
📊 Data updated monthly · Last refresh: March 2026

About D4210 — Gingivectomy/Gingivoplasty — 4+ Teeth (Per Quad)

CDT Code D4210 covers Gingivectomy/Gingivoplasty — 4+ Teeth (Per Quad). The national average negotiated rate is $383. Rates vary significantly by state, payor, and provider network. Data sourced from CMS Transparency in Coverage machine-readable files.

Top Paying States for D4210

Wisconsin
$526
14 records
Kentucky
$519
10 records
New Hampshire
$519
3 records

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Full National Breakdown

Median
$367
Low
$83
High
$1,400

Highest & Lowest Reimbursement States

↑ Top 5

StateAvg Rate
Wisconsin$526
Kentucky$519
New Hampshire$519
Maine$504
Missouri$491

↓ Bottom 5

StateAvg Rate
Iowa$229
Wyoming$220
West Virginia$197
Nebraska$191
South Dakota$149

All States — D4210 Average Rates

Wisconsin
$526
Kentucky
$519
New Hampshire
$519
Maine
$504
Missouri
$491
Alaska
$480
Oregon
$471
Nevada
$464
Delaware
$435
New York
$432
Massachusetts
$430
Michigan
$424
New Jersey
$420
Georgia
$412
Washington
$411
District of Columbia
$408
Connecticut
$407
California
$406
Ohio
$404
New Mexico
$402
Maryland
$396
Louisiana
$391
Hawaii
$384
Pennsylvania
$381
Arizona
$380
Texas
$366
Colorado
$366
Mississippi
$362
South Carolina
$356
Oklahoma
$351
Florida
$333
Indiana
$332
Illinois
$320
Utah
$316
Kansas
$312
Tennessee
$308
Arkansas
$292
Virginia
$272
Minnesota
$270
Alabama
$265
Idaho
$263
Rhode Island
$262
North Carolina
$250
North Dakota
$245
Puerto Rico
$244
Iowa
$229
Wyoming
$220
West Virginia
$197
Nebraska
$191
South Dakota
$149
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State-by-State Comparison Table

StateAverageMedianMinMaxRecords
Wisconsin$526$520$512$60014
Kentucky$519$573$326$57310
New Hampshire$519$544$441$5723
Maine$504$504$489$5182
Missouri$491$485$144$67347
Alaska$480$480$375$5862
Oregon$471$516$384$5165
Nevada$464$382$379$65013
Delaware$435$430$325$5513
New York$432$505$206$55932
Massachusetts$430$429$218$57213
Michigan$424$360$308$5985
New Jersey$420$327$289$1,40035
Georgia$412$387$218$56497
Washington$411$425$320$5016
District of Columbia$408$381$246$5845
Connecticut$407$407$407$4071
California$406$409$149$59087
Ohio$404$430$149$59810
New Mexico$402$415$367$42711
Maryland$396$411$258$55012
Louisiana$391$346$346$4803
Hawaii$384$359$326$4663
Pennsylvania$381$345$258$52111
Arizona$380$367$313$47140
Texas$366$344$149$56518
Colorado$366$382$211$57310
Mississippi$362$362$360$3632
South Carolina$356$320$125$55022
Oklahoma$351$287$216$4878
Florida$333$320$208$42917
Indiana$332$360$270$3673
Illinois$320$305$149$53324
Utah$316$316$280$3532
Kansas$312$239$144$5445
Tennessee$308$326$196$49914
Arkansas$292$216$216$5335
Virginia$272$246$210$59812
Minnesota$270$208$208$1,40022
Alabama$265$266$238$2925
Idaho$263$256$149$4005
Rhode Island$262$262$262$2626
North Carolina$250$244$218$46935
North Dakota$245$245$245$2451
Puerto Rico$244$244$244$2441
Iowa$229$149$149$38613
Wyoming$220$220$220$2201
West Virginia$197$197$197$1971
Nebraska$191$191$149$2323
South Dakota$149$149$149$1491
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